HomeMy WebLinkAboutApplication FOR OFFICE USE ONLY
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Case No.: ‘,Y--
Date Submitted: 9)---
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CITY OF COLLEGE STATION
Planning to Development Services
PRIVATE IMPROVEMENT IN PUBLIC ROW PERMIT (PIP)
MINIMUM SUBMITTAL REQUIREMENTS
5/$150 PIP permit application and review fee % JJ
Attach 4 copies of a facility layout plan, which may include the following:
(q Location, identification, and dimensions of ROW and pavement edge/curb)
[ /-Location of all proposed improvements
❑�' Location of all public utilities (existing) - dimensioned from right-of-way or back of curb, material, size
If applicable, the facility layout plan must include the following
(these may be drawn on separate sheets):
A signage plan - include dimensions of sign(s), location from back of curb, materials, elevation drawing
n Drainage and/or erosion control plan
❑ Proposed waterway alterations with supporting drainage report
( ( Landscape plan showing the location and type of plantings (existing and proposed, both common names
and scientific)
❑ The cost estimate for relocating any public facilities associated with the work
❑ �„An electrical plan
❑' Irrigation/Plumbing plan (must be sealed)
❑ A Structural plan showing details with anchoring, attachment, and material description (must be sealed)
❑ Private utility, plan-dimensioned from right-of-way or back of curb, material, size
-Attach one copy of the following:
Indemnity agreements from abutting fee owners
LASSck VI(t ,
APPLICANT/PROJECT MANAGER'S INFORMATION (Party responsible for completion of all work associated with the project):
n_ R 1
Name /72/)2/,Ri Aft 41J',4 z M art/ G 7E-Mail
Street Address +14 3 Ce4-c/ii
City 627/7-e '714 "'vj State Zip Code 1-7''
Phone Number 7 7 7 '9 e:-15-7 z Fax Number 9 -2 C" is-3-Z-
PARTY RESPONSIBLE FOR MAINTENANCE (if party is a group, please provide information for contact person):
Name 50 p e S C7 E-Mail
Street Address
City State Zip Code
Phone Number Fax Number
IDENTIFY THE FOLLOWING:
The total valuation of the work: $ 3°a er
The total valuation of the signage: $
Estimated cost of future relocation of improvements: $ /1J‘'
The total square footage of the site: 3;'Gr -
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The total linear feet of water lines crossing under paved road:
IDENTIFY THE TYPE OF WORK TO BE PERFORMED:
fl Awning Structural Contractor:
Benches Number of Benches
H Bike racks Number of Bike Racks:
❑ Cafe *Structural Contractor:
❑ Canopy *Structural Contractor:
❑ Demolition Structural Contractor:
❑ Electrical Master Electrician:
n Facade Structural Contractor:
[r Irrigation system State Licensed Irrigator: 4,4 y /Ilk lT e l 4 3'6��
[g/Landscaping *Landscape Architect/Company:
n Masonry fence *Structural Contractor:
❑ Sign(s) *Sign Contractor:
n Waterway Alterations Design Engineer:
❑ Wood fence *Structural Contractor:
❑ Other (please describe): Identify party to perform this work:
*The starred items may not require that structural contractors, sign contractors, or landscapers perform
the work- contact applicable City Departments for determination
I hereby verify that the information contained in this application is true and complete, to the best of my knowledge. I
understand that the City has the authority to inspect the work to be conducted within the public right-of-way at any
time. I also understand that this permit may be revoked at any time at the discretion of the City Officials.
Applicant's signature Date applied
Conditions of Approval:
Authorization of City Engineer Date approved
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